Table 78Summary clinical evidence profile, comparison 7: GnRH agonist 1 + placebo versus GnRH agonist 2 + placebo

OutcomesIllustrative comparative risks (95% CI)Relative effect (95 % CI)No of participants (studies)Quality of the evidence (GRADE)
Assumed riskCorresponding risk
GnRH agonist (LA depot IM) + placebo INGnRH agonist (nafarelin IN) + placebo IM
Relief of painful symptoms – Pelvic tenderness Follow-up: 6 months1624 per 1,000536 per 1,000
(418 to 680)
RR 0.86 (0.67 to 1.09)192
(1 study)
⊕⊕⊝⊝
Low2
Relief of painful symptoms–Pelvic induration Follow-up: 6 months1813 per 1,000740 per 1,000
(634 to 862)
RR 0.91 (0.78 to 1.06)190
(1 study)
⊕⊕⊝⊝
Low2

CI: confidence interval; GnRH: gonadotrophin releasing hormone; IM: intramuscular; IN: intranasal; RR: risk ratio

1

Assessed after the end of the treatment period

2

Quality of evidence was downgraded by 2 points owing to very serious imprecision: CI crosses 2 default thresholds

From: 11, Management strategies

Cover of Endometriosis: diagnosis and management
Endometriosis: diagnosis and management.
NICE Guideline, No. 73.
National Guideline Alliance (UK).
© NICE 2017.

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